LUCID LANE PROVIDERS P.C. NPI 1912507021

NPI Information

  • NPI: 1912507021
  • Provider Name: LUCID LANE PROVIDERS, P.C.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: LUCID LANE PROVIDERS, P.C.
  • Address: 3251 PLACE DU JARDIN
    OPTIONAL
    SAN JOSE, CA
    ZIP 95148
  • Phone: (630) 589-2730

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NPI Details

LUCID LANE PROVIDERS, P.C. is a mental health counselor in San Jose, CA. LUCID LANE PROVIDERS, P.C. NPI is 1912507021. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lucid Lane Providers, P.c..

The provider's business location address is:

3251 PLACE DU JARDIN
OPTIONAL
SAN JOSE, CA
ZIP 95148-514
Phone: (630) 589-2730

The provider's authorized official is Mubeena Siddiqui .
The authorized official title is Director Of Rcm And Compliance and has the following contact phone number (630) 589-2730.

The enumeration date for this NPI number is 10/28/2020 and was last updated on 1/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2103TC0700XPsychologistClinicalNo
3103TP2701XPsychologistGroup PsychotherapyNo
41041C0700XSocial WorkerClinicalNo
5207R00000XInternal MedicineNo
62083X0100XPreventive MedicineOccupational MedicineNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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